Active NPI
Loren Sites, D.D.S
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1871724559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9979
- Practice address
- 9895 Prominent Peak HTS
Apt 111
Colorado Springs, CO 80924-8632 - Phone
- (719) 480-4189
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9979 | CO | Primary |
Addresses
Primary practice location
9895 Prominent Peak HTS
Apt 111
Colorado Springs, CO 80924-8632
Mailing address
9895 Prominent Peak HTS
Apt 111
Colorado Springs, CO 80924-8632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161024002604 | CO | Order and Referring Only - Dentist | 9739467812 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9979 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1871724559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9895 PROMINENT PEAK HTS",
"address_2": "APT 111",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809248632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9895 PROMINENT PEAK HTS",
"address_2": "APT 111",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809248632",
"telephone_number": "719-480-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITES",
"first_name": "LOREN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.